Individual
MR. LYNN MOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.PH.
Contact information
Practice address
7201 E RENO AVE, MIDWEST CITY, OK 73110-4484
(405) 737-3451
(405) 733-7061
Mailing address
7201 E RENO AVE, MIDWEST CITY, OK 73110-4484
(405) 737-3451
(405) 733-7061
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8636
OK
Other
Enumeration date
11/11/2006
Last updated
07/09/2007
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